Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KACIE JO COSTELLO MOODY, PA
ActiveKACIE JO COSTELLO MOODY, PA is a Physician Assistant healthcare provider located in FORT MILL, South Carolina. NPI 1841461373 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT MILL, SC
Registration Details
- NPI Number
- 1841461373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2008 (18.438008016979 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
0010-00779 (NC)1295 (SC)
Practice Information
- Address
-
704 GOLD HILL RDSUITE 1200FORT MILL, SC, 297158906Browse SC providers · Browse ZIP 29715
- Phone
- 7046673380
- Fax
- 7046673381
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT MILL, SC
| Name | Credential | NPI |
|---|---|---|
| SHERRY D. SHERMAN | P.A-C | 1376571547 |
| MICHAEL PATRICK ROBERTS | PA-C | 1922036862 |
| MRS. HEATHER ELIZABETH SHIFLETT | PA-C | 1619901568 |
| MRS. SHAWNIE RENEE PERKINS | MSPAS, PA-C | 1740477207 |
| MRS. NICOLE C KEETER | PA-C | 1396997110 |
| KISHOR VALAJIBHAI PATEL | PA-C | 1841613437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.